Individual
STEPHANIE MARIE FACOMPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
1365 S CLAYTON ST, DENVER, CO 80210-2429
(321) 960-2470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
352820
FL
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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